Personalized Meal Planner & Grocery List
By completing this short questionnaire, you’ll unlock a free, fully customized meal planner and grocery list tailored to your dietary needs, health goals, and preferences. Our automation system will process your answers and deliver an easy-to-use plan straight to your inbox, helping you save time, stay on track, and nourish your wellness journey with confidence.
Name
First Name
Last Name
Email
example@example.com
Q1. Do you have any food allergies, intolerances, or sensitivities?
Q2. What is your current eating style or diet preference?
Vegetarian
Vegan
Keto
Mediterranian
Paleo
Gluten-Free
Pescatarian
Flexitarian
No preference
Other
Q3. How do you like your foods seasoned?
mild
medium
spicy
prefer herbs
low salt
no added sugar
Other
Q4. What are your top 3 health or nutrition goals right now?
Weight Loss
Increased Energy
Better DIgestion
Muscle Gain
Heart Health
Blood Sugar Balance
Lean body
Weight gain
Other
Q5. Are there any specific types of meals or foods you want included?
red meat
lots of quick-prep meals
snacks
no processed foods
fish
chicken
vegetables
fruits
healthy carbohydrates
Fermented foods (kombucha, kimchi, Keefer)
pro and prebiotic (for gut health)
pork
pasta
Other
Q6. How many meals per day should the plan cover?
Breakfast, lunch, dinner, and snacks
Breakfast, lunch, and dinner only
Just dinners
Lunch and dinner
Other
Q7. Do you prefer recipes that are:
Quick and easy (under 30 min)
More elaborate (weekend or special meals)
A mix of both
Other
Q8. What types of drinks do you regularly consume or want included/excluded in your plan?
coffee
tea
smoothies
alcohol
soda
flavored waters
protein shakes
Other
Q9. What is your current activity level?
Sedentary (little to no exercise)
Lightly active (light exercise 1–3 days/week)
Very active (hard exercise 6–7 days/week)
Extra active (physical job or intense training)
Q10. Which best describes your metabolic type?
Fast (burns calories quickly, often feels hungry, may struggle to gain weight)
Slow (stores calories easily, slower digestion, may struggle with weight gain)
Balanced (steady appetite and energy, generally stable weight)
Unsure / I don't know
Q11. Are you interested in trying intermittent fasting as part of your plan?
Yes, I'm interested
No, not interested
Maybe, I’d like to learn more
Q12. How many people are you typically shopping and cooking for?
Just Me
Two People
Family of 3–4
Larger household (5+)
Q13. If you would like us to recommend the closest or most affordable local grocery stores near you please enter your zip code here and describe preferences (affordability, most healthy for the money, natural foods markets, etc.)
Q14. What is your typical weekly grocery budget? (Approximate USD)
Q15. Anything else we should know to personalize your meal planner and grocery list? (Please provide any details regarding your diet and exercise plan which will help us create the best plan for you. Feel free to describe your current eating habits, to include such things food preferences/favorites, desert preferences, work schedule, etc.
With Gratitude
Once submitted, we will process your responses and deliver a custom meal planner + grocery list to your email. Thank you for letting AlphaWell360 support your wellness journey!
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